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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Round, Red Patches On The Face Of An Infant?

Hello,
could id be possible that diagnosed ' 'epidermis nevus' on the face of my son (not congenital) that appeared on his face soon after he was born ( one side, upper part of cheek/temple) , can later start appearing (as it had ineed) after almost 1 year had passed as small round patches, same color (light red, when crying changes to darker red), 3 to 5 cm away from the location of first one? They do not itch, scale, are not raised. Or we might have been misdiagnosed to which I strongly suspect. Thank you.
posted on Sat, 9 Sep 2017
Twitter Thu, 9 Nov 2017 Answered on
Twitter Fri, 10 Nov 2017 Last reviewed on
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Ayurveda Specialist,  's  Response
**
Thanks for contacting with your health concern

1. Since he was diagnosed at birth, thus attending doctor/Pediatrician must have excluded most of the differential diagnosis before arriving at 'epidermus nevus'

2. As you judged correctly: as the age progress, the nevi can become thicker, darker and can be flat, tan or brown patches of the skin.

PS. keep in mind that people with nevus epidermis also have extracutaneous abnormalities affecting the brain, eyes or bone [epidermal nevus syndrome], so check with

- neurological [brain] abnormalities like cognitive abnormality, developmental delays.
- skeletal [bone] abnormalities like abnormal curvature of the spine, any abnormality of arms and legs.
- Ocular [eyes] abnormality may include cataract, opacity of the cornea.
- Vitamin D resistant rickets [can also occur]

PS. thus child should be under the regular supervision of Pediatrician, pediatric neurologist, ophthalmologist, orthopedic surgeon to systematically and comprehensively plan child treatment.
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What Are The Round, Red Patches On The Face Of An Infant?

** Thanks for contacting with your health concern 1. Since he was diagnosed at birth, thus attending doctor/Pediatrician must have excluded most of the differential diagnosis before arriving at epidermus nevus 2. As you judged correctly: as the age progress, the nevi can become thicker, darker and can be flat, tan or brown patches of the skin. PS. keep in mind that people with nevus epidermis also have extracutaneous abnormalities affecting the brain, eyes or bone [epidermal nevus syndrome], so check with - neurological [brain] abnormalities like cognitive abnormality, developmental delays. - skeletal [bone] abnormalities like abnormal curvature of the spine, any abnormality of arms and legs. - Ocular [eyes] abnormality may include cataract, opacity of the cornea. - Vitamin D resistant rickets [can also occur] PS. thus child should be under the regular supervision of Pediatrician, pediatric neurologist, ophthalmologist, orthopedic surgeon to systematically and comprehensively plan child treatment.